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General NPI Number Information
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NPI Number | 1801150461
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Entity Type | Organization
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Legal Business Name | NEW YORK FOOT AND ANKLE PLLC
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Dates
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Enumeration Date | 06/28/2012
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Last Update Date | 06/16/2014
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Provider Practice Location Address
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Address Line | 261 JERICHO TPKE
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City | FLORAL PARK
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State | NY
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Zip | 11001-2146
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Country | US
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Telephone | 516-492-3155
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Fax | 347-244-7149
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Provider Business Mailing Address
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Address Line | 261 JERICHO TPKE
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City | FLORAL PARK
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State | NY
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Zip | 11001-2146
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Country | US
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Telephone | 516-492-3155
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Fax | 347-244-7149
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. STEVEN M YAGER
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Credential | DPM
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Telephone | 516-492-3155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | N003824-1
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License Number State | NY
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